| NPI | 1952170623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11030424) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9434902) |
| Enumeration Date | 2023-12-22 |
| Last Update Date | 2024-01-03 |